Through the development of electronic medical records and the technical framework of electronic medical records system and regional medical information sharing between the electronic medical record as regional medical information access, historical inquiry, quality control, and share analysis support requirements and how to design to meet regional medical information sharing needs of electronic medical record system.
Currently, the regional health information has become the hospital Informationization of the HotSpot.
Regional health information on regional medical information sharing is not limited to the doctor's prescription, laboratory inspection reports, and other content, such as medical instruments described the course content sharing also proposed requirements. Therefore, the establishment of a network of hospitals is relatively comprehensive electronic medical record system has also become regional medical information sharing further development.First, in line with the regional medical information sharing requirements of electronic medical record schema
1 the development of electronic medical records
Computers in medical records management application, generally has undergone three phases: phase 1 is used for the storage and management of medical files (such as medical records and patient Home, research, etc.); phase 2 is used to discharge records database management; the third phase is the input through the computer network, and storage of information on the basis of the patient, the doctor's advice, the clinical examination and medical images, etc., to form a huge repository of medical records.
Electronic medical record system for regional medical information sharing provides support services to their own schema must meet the requirements of the share.
Early electronic medical record system for most of the design of two-dimensional relationship table and store that along with the application of in-depth, has become increasingly unmet clinical needs. This schema causes the electronic medical record of the operation is slow, the interface is not friendly, specialist support and modify response slow, difficult later statistical query. Therefore, we must be consistent with the requirements of the technical structure of the schema.2 the technical framework of electronic medical records
To our hospital electronic medical records system, for example, uses the entire structure-based design, based on the .NET platform in three-tier architecture, the client uses the open C # Winform interface, so that both guarantees the client run faster, but also implements the display layer, application layer and data layer of separation.
The front desk to use DHTML to complete records writing tools, both from the technical implementation of a flexible input mode, you can press the control key content control required. The backend uses XML for data storage and retrieval of data for science and research. We also introduced in the electronic medical record, to achieve SOA framework and yuanji hospital electronic medical record access provision of support services.Figure 1: the electronic medical record technology architectures
Second, electronic medical records on regional medical information sharing support
The Ministry of health published the electronic medical record system infrastructure and data standards (draft) pointed out that, at this stage, the standardization of our electronic medical record was to meet the region-wide health care institutions in clinical information exchange and sharing needs and achieve to health records and electronic medical record-based regional health collaborative, resolve residents "costlier" and other social issues.
This shows that the electronic medical record is a modern medical institution clinical work necessary for the business support system, health of the archives of the main sources of information and the important part. Standardization of electronic medical record is the realization of regional scope to resident individuals as the main line of clinical information sharing and medical institutions of collaborative services. Not only does it guarantee that health records "number out of a source", but also can help standardize clinical pathways, realization of medical process supervision, to promote the improvement of the quality of medical services and emergency medical treatment.1. access to medical information support
Electronic medical record is a patient in the hospital during the entire medical record and summary of the process, is a doctor on the correct diagnosis and treatment of patients with a scientific basis.
Electronic medical record system you first need to medical information acquisition and access to provide convenient, stable means of support.Hospital medical records information access 1.1
Electronic medical record with extraction and share information easily, large capacity, information integrity, ease of preservation, convenient, practical, is clinical, teaching and scientific research of the important sources of information.
Its biggest advantage is the doctor you can at any time in any one of the Terminal through the electronic medical record system, access to electronic information for patients, can truly reflect the condition and treatment, more vivid, intuitive, and reliable treatment effects.Currently, our hospital electronic medical record system holds all medical data, including doctors write medical data, course record, from medical equipment acquisition to medical imaging, various checks and inspection data, vital signs data, etc.
In the electronic medical record system, we provide a comprehensive view of integrated patient (see Figure 2).
Through a comprehensive view of patients, healthcare professionals can learn about the patient in a cycle of respiration, pulse, temperature, water access basic physiological changes. Doctors can also be set to a test required observation index results, see the inspection specifications in the cycle of change. The system also provides patient's current and previous medical history of hospitalization, convenient healthcare professionals a comprehensive understanding and analysis of various aspects of the patient.Figure 2: integration with comprehensive views
1.2 regional medical information access
Electronic medical record system not only for hospital and nursing staff providing inside access to support, but also for the region many hospitals medical information sharing to provide data support.
Through the sharing of medical information, to the greatest degree of avoiding duplication check test, reducing the burden on patients.
You can save on purchasing costs of inspection equipment, lifting large inspection equipment utilization efficiency, reducing waste of medical resources.Take Shanghai hospital with engineering, for example.
The project is to the municipal hospital between a shared integration platform for information exchange. The platform andAmong the hospital's electronic medical record system networking convergence in the hospital on the establishment of electronic medical information files that implement a cross-hospital patients with clinical diagnosis and management of information sharing. Where Shanghai holding social medical treatment of patients in the hospital with the project "," networking in the hospital, the authorized medical practitioner can access the workstation by doctors in our patients, as well as other medical record of the NTE, prescriptions, medical record Home, test results, and you can access to the part of the municipal hospital in medical imaging. While the CPR to upload and access is an important part.
No comments:
Post a Comment